• 대한한의학회지
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• 제38권3호
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• pp.103-110
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• 2017

Objectives: The purpose of this study was to examine trends in duplicate publication in Korean medical articles indexed in the Oriental Medicine Advanced Searching Integrated System(OASIS). Methods: We searched the list of papers published in Korean medical journals by using OASIS. We randomly extracted 10% of total articles (n=1,162). We searched using OASIS by entering keywords from the title and names of the first and last authors of each indexed article. After the librarian selected the candidates of duplicate publication, three authors reviewed the full texts of the articles independently. When their opinions were not in agreement, reconciliation was made by discussion. The patterns of duplicate publication, such as copy, salami slicing (fragmentation), and aggregation (imalas), were also determined. Results: A total of 1162 articles were evaluated, 24 (2.1%) index articles of which were duplicate articles. Among 24 index articles, Two were triple publications and 22 were double publications. The patterns of duplication publication were as follows; (1) copy (n=8, 33.3%); (2) salami (9, 37.5%), (3) imalas (5, 20.8%) (4) others (2, 8.3%). Conclusion: Duplicate publications have appeared in Korean medical journals in a small proportion. Education on publication ethics and authors'ethical awareness is needed.

• 기본간호학회지
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• 제11권3호
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• pp.309-316
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• 2004

Purpose: The purpose of this study was to identify the perceptions and attitudes of nurses toward euthanasia. Method: In this descriptive study, data were collected from 485 nurses using a self-report questionnaire. The attitudes toward euthanasia scales were composed of four sub dimensions; quality of life, client's right, respect for life and medical ethics. The data were analyzed with descriptive and parametric statistics using SPSS WIN program. Results: Of the nurses, 84.7% were in agreement with constituting a law for euthanasia and 57.6% accepted passive euthanasia. Further, 80.1% would accept euthanasia for their own end-of-life situation. The most frequent reason for pro euthanasia was pain relief, and for con, respect for lift. The mean attitude score was 54.64 and that of sub dimensions, were 2.81 for quality of life, 3.21 for client's right, 2.87 for respect for life, and 2.84 for medical ethics. The nurses who were positive in their thinking about euthanasia had higher attitude scores. Among general characteristics of the nurses, attitudes scores were significantly different according to religion. Conclusion: Although many nurses had a positive concept of euthanasia, they still have ethical dilemmas in lift-sustaining care. Therefore training programs on moral rights are necessary to provide guidelines for end-of-life care.

• 한국콘텐츠학회논문지
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• 제20권4호
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• pp.571-581
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• 2020

의료통역전문인력의 검정시험 평가항목으로는 대항목, 중항목, 소항목이 있으며, 그 기준 및 수준이 명확하지 않아 시험을 준비하는 자로 하여금 혼란이 야기될 수 있다. 이에 의료통역능력 검정시험 자격요건과 평가항목의 출제기준을 우리나라의 의료체계와 부합할 수 있도록 제안하고자 한다. 시행되고 있는 의료통역능력 검정시험에 대한 조사는 국내·외 자료를 수집하였으며, 유사검정시험과 비교 및 국외 시험과 비교하였다. 또한 의료통역능력 검정시험 문항개발, 출제경험이 있는 전문가들에게 검정시험에 대한 인식을 조사 하였다. 그 결과 국제문화 평가항목에 대하여 언어권문화는 의료권문화로 통역윤리는 의료통역윤리로 수정하였다. 병원시스템 평가항목은 대항목의 「의료관련법」에서 중항목인 「의료분쟁조정법」을 「의료사고피해구제 및 의료분쟁조정등에 관한법률」로 「의료관광관련법」 4개 항목을 2개로 축소하고, 「의료해외진출 및 외국인환자유치지원에 관한법률」을 추가하였다. 우리나라 의료문화와 부합되게 의료통역능력 검정시험이 마련된다면, 검정시험에 합격한 전문인력에게 전문가로서 활동할 수 있는 안정적인 기회가 마련될 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제49권1호
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• pp.18-22
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• 2016

Ethical considerations are essential in planning for and responding to outbreaks of infectious diseases. During the outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) in the Republic of Korea in 2015, serious challenges emerged regarding important ethical issues, such as transparency and the protection of privacy. The development of bioethics in Korea has been influenced by individualistic perspectives applied in clinical contexts, leading to a paucity of ethical perspectives relevant to population-level phenomena such as outbreaks. Alternative theories of public health ethics include the perspectives of relational autonomy and the patient as victim and vector. Public health actions need to incorporate clear and systematic procedures founded upon ethical principles. The MERS-CoV epidemic in Korea created significant public support for more aggressive early interventions in future outbreaks. This trend makes it all the more imperative for ethical principles and procedures to be implemented in future planning and responses to outbreaks in order to promote perceptions of legitimacy and civic participation.

• Journal of Yeungnam Medical Science
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• 제30권2호
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• pp.73-78
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• 2013

An institutional review board (IRB) should independently safeguard the right, safety, and well-being of all clinical trial subjects. It should consist of members who are qualified and experienced to review and evaluate the science, medical aspects, and ethics of the proposed trial. They have to pursue continuing efforts to improve the standards of review. The levels of review include the full board review, expedited review, continuing review, or exempt from review, while the levels of decision-making include approval, conditional approval, deferred approval, and disapproval. Investigators must follow the approved protocols and regulations honestly, and it is the IRB's mission to audit clinical trial sites as well.

• 대한기관윤리심의기구협의회지
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• 제2권2호
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• pp.33-36
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• 2020

In December 2019, coronavirus disease 2019 (COVID-19) was discovered in Wuhan, China. The disease was so severe that as early as 30 January 2020 COVID-19 was declared by WHO as a Public Health Emergency of International Concern. There have been a lot of concerns about conducting COVID-19 clinical researches scientifically and ethically in pandemic. This article is directed at addressing these issues from the perspective of IRB. First of all, the urgency of COVID-19 research requires prompt IRB process through efficient ethics review and oversight system. IRB should determine whether the risks that will be presented to human subjects are justified after assessing possible harm and anticipated benefits. The safety of subjects should not be compromised. Furthermore, informed consent should be voluntarily obtained by sufficient information in consideration of special circumstances during a pandemic.

• 한국콘텐츠학회논문지
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• 제20권11호
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• pp.501-510
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• 2020

본 연구는 임상실습을 경험한 의과대학생(이하 의과대학생으로 표기)과 일반대학생의 생사관과 영적안녕에 대한 특성을 살펴보고 그 상관성을 비교하고자 하였다. 연구대상은 H대학교 의과대학생 95명과 A대학교 일반대학생 103명을 대상으로 표집하였으며 연구 결과는 다음과 같다. 의과대학생과 일반대학생 모두 생사관 하위 요인 중 부정적 죽음의미가 가장 높았다. 의과대학생과 일반대학생은 죽음불안과 생명존중의지에 차이를 보였는데 의과대학생은 일반대학생보다 죽음불안이 낮고, 생명존중의지가 높았다. 생사관과 영적안녕 하위요인간의 상관관계를 분석한 결과, 일반대학생의 실존적 안녕이 죽음관여도와 부적 상관관계를 보이고 생명존중의지와는 정적 상관관계를 보였다. 반면 의과대학생의 경우 종교적 안녕이 죽음의미와 부적 상관관계를 보였으며 실존적, 종교적 안녕 모두 생명존중의지와는 정적 상관관계를 보였다. 본 연구의 결과는 의료적 죽음에 노출이 될 의과대학생의 생명의료윤리교육에 차별적 컨텐츠를 구성함에 있어 도움이 될 것이다.

• 의학교육논단
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• 제12권2호
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• pp.3-4
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• 2010

Purpose: Education provided in many Korean medical colleges still isn't free from the contents of the "2+4 year program." Korean medical colleges especially holds onto the belief that humanities must be taught to the lower grades. Methods: I introduced the six-year integrated program and reversed the order of the existing education program. The new program assigned anatomy, physiology, and biochemistry to the 1st years, and humanities subjects such as forensic medicine and medical ethics to the 4th, 5th, and 6th years. Results: Increased participation and interests among students. Conclusion: Occupational and Environmental Medicine (OEM) at the level of pre-medicine brings harm rather than good.

• 의학교육논단
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• 제20권2호
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• pp.65-71
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• 2018

Western medicine was first introduced to Korea by Christian missionaries and then by the Japanese in the late 19th century without its historical, philosophical, cultural, social, political, and economic values being communicated. Specifically, during the Japanese colonial era, only ideologically 'degenerated' medicine was taught to Koreans and the main orthodox stream of medicine was inaccessible. Hence, Korean medical education not only focuses on basic and clinical medicine, but also inherited hierarchical discrimination and structural violence. After Korea's liberation from Japan and the Korean war, the Korean medical education system was predominantly influenced by Americans and the Western medical education system was adopted by Korea beginning in the 1980s. During this time, ethical problems arose in Korean medical society and highlighted a need for medical humanities education to address them. For Korean medical students who are notably lacking humanistic and social culture, medical humanities education should be emphasized in the curriculum. In the Fourth Industrial Revolution, human physicians may only be distinguishable from robot physicians by ethical consciousness; consequentially, the Korean government should invest more of its public funds to develop and establish a medical humanities program in medical colleges. Such an improved medical education system in Korea is expected to foster talented physicians who are also respectable people.

• 의료법학
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• 제23권2호
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• pp.39-65
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• 2022

진료가이드라인은 의료행위 전의 비법적 통제로서 작용하는 측면과 의료행위 후의 법적인 통제기준으로 작용하는 두 가지 측면이 있다. 진료가이드라인의 본질적 목적은 전자이지만, 후자의 작용을 배제할 수 없다. 진료가이드라인은 법과 의료를 연결하는 수단이다. 진료가이드라인의 제정에 의해 의료전문가의 자율성이 침해될 수 있다는 진료가이드라인에 대한 부정적 인식은 진료가이드라인에 대한 지나친 부정적 평가이다. 오히려 진료가이드라인에 의한 사법판단은 의료전문가의 자율성을 존중하는 역할을 한다. 즉 진료가이드라인은 의료에 대한 법적 규제를 최대한 억제하고, 의사의 직업윤리 및 자기규율과 환자의 자각 및 협력을 바탕으로 하는 것이다. 의사와 환자의 협력이라는 이상적인 관계를 정립하기 위해서는 「의료윤리」를 법적 수단으로 편입해야 한다. 이러한 의료윤리의 법적 절차에의 편입작업에 가장 적절한 수단이 의료가이드라인이다. 법률가는 규범을 정립하고, 그것에 사실을 적용하여 결론을 내리는 법적 삼단논법으로 사안을 해결한다. 의료분쟁의 해결은, 의사가 특정 질환에 어떠한 의료행위를 해야 하는가라는 규범을 정립할 때에 진료가이드라인을 사용하며, 정립된 규범을 구체적인 진료행위에 적용하여 결론을 도출한다. 정립된 규범을 구체적인 진료행위에 적용하는 것이 쉽지 않은 때에는 감정이나 전문가 증언, 전문위원의 설명과 같은 전문가의 의학적 판단을 이용한다. 이처럼 사법(司法)은 규범의 정립이나 규범의 적용에도 의료의 자율성을 존중하고 있다. 특히 법적 삼단논법의 대전제인 규범의 정립에는 의료계가 자주적으로 작성한 진료가이드라인을 참고하고 있다. 이는 의료인이 판례의 형성에 참가하여 규범형성에 기여하는 모습이다. 진료가이드라인이 재판에 이용되는 것은 의료의 자율성에 대한 존중과 배려이다. 진료가이드라인에 의해 개개의 의사의 자율성이 제약되는 측면은 있을 수 있지만, 집단으로서의 의사의 자율성은 존중된다고 보아야 한다. 이처럼 진료가이드라인은 「법」의 논리에서 보면, 「의료」 집단의 자율성을 보호하는 역할을 한다.